Peds Lab Final Prep Flashcards
(178 cards)
What is the minimum weight for an LTV 1200 Vent?
5 kg (11 lbs)
T or F: In the LTV 1200Control Mode; breaths can be triggered either by patient or machine
False; In the control mode (sensitivity set to dash) & display says a/c; only machine breaths are allowed; no patient triggered breaths are allowed
In LTV 1200 what settings differentiates A/C mode from control mode?
Sensitivity; when on will be A/C; when off is control mode only
In LTV 1200 breaths that are pressure or volume are given according to either Vt or PC and what other variable?
Insp Time
T or F: Bias flow can be turned off on the LTV 1200
True: when O2 conserve is turned on than bias flow is turned off & it reduces assistance with patient triggering
During which phase of breathing (inhalation/exhalation/both) is bias flow constant at 10 lpm to assist with pt triggering?
Exhalation
What causes flow to be set to 0 l pm in the ltv 1200?
insp hold maneuver
T or F: The LTV 1200 is peep compensated
True
In the LTV 1200 when leak compensation is set it compensates for leaks in:
A. ETT
B. Patient Circuit
C. Both A & B
B. It compensates for leaks in pt circuit; if leak unstable during exhalation will not be detected; it will improve pt triggering by gradually adjusting pt sensitivity
Which is best to use for ideal trigger sensitivity in LTV 1200?
A. O2 conserve On
B. O2 conserve Off
A. O2 conserve off provides best trigger sensitivity
What is a reason you would want O2 conserve to be on in the LTV 1200?
When you are concerned about running out of a source of O2, such as on portable O2 canisters during transport
Name the 3 surfactant types available?
Curosurf; Survanta, InfraSurf
Newborn who weighs 8lbs has been intubated & xray done shows ETT tube in good position, bilateral ground glass appearance with air bronchograms. What disease process would you suspect?
RDS
What therapy might be prescribed for an infant suspected of RDS?
Surfactant
If you are dispensing Infasurf for a baby that weighs 8lbs how much surfactant would you use & how many doses & how often? How should it be drawn up
Q6 x 4 doses with a total of 10.8 mL 8 lbs/2.2=3.63 kg dose is 3 ml/kg x 3.63 ; 3.63 x 3 =10.9 Draw up slightly more than needed & fill up ETT catheter; 0.5 more
You are ventilating a baby on a Babylog 8000 & the physician feels the bias flow is too high & you need to maintain the flow at 2lpm; what option would you use
VIVE: volume in; volume out
When oxygenating a term infant you must be careful in weaning the Oxygen level, why is this so important?
To prevent instability & possible desaturations
You are ventilating a baby who is 26 wks & weighs 820 g; the infant is intubated and given first dose of surfactant; they are currently on a t-piece resuscitator at 20/5, rate 35, FIO2 of .45; Insp time of 0.30 sec; What is the I:E ratio?
1:4.8
In a 8 lbs newborn you are using babylog 8000; you must achieve a Vt of 5 cc/kg; how would you achieve this goal and would is your desired Vt for this baby?
Use Volume guarantee
Vt = 18 [8lbs/2.2=3.6 x 5 = 18]
What is the narrowest part of the pediatric airway? What is the narrowest part of the adult airway?
cricoid for pediatric is narrowest & Larynx (or vocal cords) is the most narrow in adults
In a pediatric patient how can you determine the depth you should place your ET tube?
ID x 3
When intubating a pediatric patient; you would most likely use a miller or straight blade & lift _____ with tip and it is placed and pressed against the tip of the tongue.
epiglottis
What is the purpose of a cuffed ETT?
To create a seal to occlude air leaks
A 820 g infant is a ______ kg; or _____ lbs
.82 kg or 1.8 Lbs baby